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Self-Monitoring and Self-Management of Oral Anticoagulation - Cochrane for Clinicians -...

Jun 1, 2017 - In patients taking warfarin (Coumadin) for anticoagulation, there is moderate-quality evidence that both self-monitoring (number needed to treat [NNT] = 100) and self-management (NNT = 53) reduce thromboembolic events, and that self-management reduces all-cause mortality (NNT = 67).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2017/0601/p700.html

A Changing Climate Threatens Our Health

Jun 1, 2017 - The health threats posed by climate change are alarming. Given the scope of the problem, everyone could potentially be affected -- and likely, many of us will be.

AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/leadervoices/entry/a_changing_climate_threatens_our.html

New Atrial Fibrillation Guideline Focuses on Pharmacologic Management

Jun 1, 2017 - New Atrial Fibrillation Guideline Focuses on Pharmacologic Management

Press Center : News Releases and Statements

https://www.aafp.org/media-center/releases-statements/all/2017/atrialfibrillation-guidelines.html

AAFP Survey: Too Many Men Ignore Doctors’ Orders

Jun 1, 2017 - AAFP Survey: Too Many Men Ignore Doctors’ Orders

Press Center : News Releases and Statements

https://www.aafp.org/media-center/releases-statements/all/2017/mens-health-2017.html

Racial Segregation Associated With Higher BP Among Black Adults

May 30, 2017 - A study published in JAMA Internal Medicine found that increases in racial residential segregation were associated with small increases in systolic blood pressure.

AAFP News : Health of the Public

https://www.aafp.org/news/health-of-the-public/20170530segregationbp.html

Perioperative Cardiovascular Medication Management in Noncardiac Surgery: Common ...

May 15, 2017 - Several medications have been used perioperatively in patients undergoing noncardiac surgery in an attempt to improve outcomes. Antiplatelet therapy for primary prevention of cardiovascular events should generally be discontinued seven to 10 days before surgery to avoid increasing the ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0515/p645.html

Despite Narrowing Gap, Racial Health Disparities Remain

May 9, 2017 - The death rate for African-Americans declined 25 percent between 1999 and 2015, according to a new Morbidity and Mortality Weekly Report from the CDC, but health disparity gaps between blacks and whites remain.

AAFP News : Health of the Public

https://www.aafp.org/news/health-of-the-public/20170509mmwr-healthdispar.html

Free Clinics Need Our Help to Heal Patients, Communities

May 8, 2017 - Leonard Reeves, M.D., shares a patient story that illustrates the powerful impact free clinics can have for those in dire need of help.

AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/leadervoices/entry/free_clinics_need_our_help.html

Health Maintenance in Postmenopausal Women - American Family Physician

May 1, 2017 - Cardiovascular disease is the leading cause of death and disability in postmenopausal women older than 50 years. Clinicians should use the pooled cohort risk assessment equations or another risk calculator every three to five years to estimate a woman’s 10-year risk of atherosclerotic ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0501/p561.html

Top 20 Research Studies of 2016 for Primary Care Physicians - American Family Physician

May 1, 2017 - This article summarizes the top 20 original research studies and four practice guidelines of 2016, based on regular literature surveillance and as selected by members of the Canadian Medical Association. The studies, known as POEMs (patient-oriented evidence that matters), were rated ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0501/p572.html

Pharmacologic Treatment of Hypertension: ACP and AAFP Release Recommendations for ...

May 1, 2017 - The American College of Physicians (ACP) and American Academy of Family Physicians (AAFP) have made recommendations for all clinicians to treat hypertension in persons 60 years and older, based on the benefits and harms of higher (less than 150 mm Hg) and lower (140 mm Hg or less) ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2017/0501/p588.html

Estimating Cardiovascular Risk - Point-of-Care Guides - American Family Physician

May 1, 2017 - The primary prevention of cardiovascular disease (CVD) depends on accurate estimation of cardiovascular risk. However, a recent systematic review identified 363 prediction models.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2017/0501/p580.html

Pharmacologic Treatment of Hypertension in Adults Aged 60 Years or Older: A Guideline ...

May 1, 2017 - A high standard must be met when guidelines recommend lifelong preventive medications, knowing that at best, a small minority of patients will benefit and that all are risking harm.

American Family Physician : Editorials

https://www.aafp.org/afp/2017/0501/p547.html

USPSTF: Screen for Pre-eclampsia Using BP Throughout Pregnancy

Apr 26, 2017 - On April 25, the U.S. Preventive Services Task Force finalized its recommendation to screen pregnant women for pre-eclampsia throughout pregnancy using blood pressure measurements -- a B recommendation.

AAFP News : Health of the Public

https://www.aafp.org/news/health-of-the-public/20170426uspstfpreeclampsiafinal.html

Severe Asymptomatic Hypertension: Evaluation and Treatment - American Family Physician

Apr 15, 2017 - Hypertension affects one-third of Americans and is a significant modifiable risk factor for cardiovascular disease, stroke, renal disease, and death. Severe asymptomatic hypertension is defined as severely elevated blood pressure (180 mm Hg or more systolic, or 110 mm Hg or more ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0415/p492.html

Alzheimer Disease: Monotherapy vs. Combination Therapy - FPIN's Help Desk Answers - ...

Apr 1, 2017 - Combination treatment with memantine and donepezil results in a small improvement in cognitive function that is of uncertain clinical significance in patients with moderate to severe Alzheimer disease, but no improvement in patients with mild to moderate disease.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2017/0401/p452.html

PCI Has More Benefits and Harms Than CABG for Selected Patients with Left Main Coronary...

Apr 1, 2017 - Patients undergoing PCI had fewer early myocardial infarctions, but more later deaths and later myocardial infarctions. There are other benefits to PCI, including shorter hospital stay, lower cost, and faster recovery. But patients should be informed of the tradeoffs, and it is ...

American Family Physician : POEMs

https://www.aafp.org/afp/2017/0401/p455a.html

Hidden Salt: How Everyday Foods Harm You

Mar 20, 2017 - World Salt Awareness Week 2017 Hidden Salt: How Everyday Foods Harm You

Press Center : News Releases and Statements

https://www.aafp.org/media-center/releases-statements/all/2017/world-salt-awareness-week-2017.html

Semaglutide Reduces CV Events in High-Risk Patients with Type 2 Diabetes Mellitus - ...

Mar 15, 2017 - Semaglutide significantly reduced the composite outcome of CV death, nonfatal myocardial infarction, and nonfatal stroke (number needed to treat [NNT] = 43 over 2.1 years). It was generally well tolerated, and it reduced body weight by approximately 6.4 to 9.5 lb (2.9 to 4.3 kg).

American Family Physician : POEMs

https://www.aafp.org/afp/2017/0315/p396.html

Multiple Myeloma: Diagnosis and Treatment - American Family Physician

Mar 15, 2017 - Multiple myeloma accounts for 1.6% of all cancer cases and approximately 10% of hematologic malignancies in the United States. In 2015, an estimated 28,850 new cases of multiple myeloma were diagnosed in the United States, and the disease caused more than 11,000 deaths. Patients older ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0315/p373.html

Detrimental Effect of Tight Glucose Control on CV Mortality Persists Over Nine Years - ...

Mar 15, 2017 - The initial Action to Control Cardiovascular Risk in Diabetes (ACCORD) study, which compared standard treatment with intensive control, found that despite good intentions, cardiovascular (CV) and overall mortality are significantly higher when blood glucose levels are lower.

American Family Physician : POEMs

https://www.aafp.org/afp/2017/0315/od2.html

Syncope: Evaluation and Differential Diagnosis - American Family Physician

Mar 1, 2017 - Syncope is an abrupt and transient loss of consciousness caused by cerebral hypoperfusion. It accounts for 1% to 1.5% of emergency department visits, resulting in high hospital admission rates and significant medical costs. Syncope is classified as neurally mediated, cardiac, and ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0301/p303.html

Deep Venous Thrombosis and Pulmonary Embolism: Current Therapy - American Family Physician

Mar 1, 2017 - Pulmonary embolism and deep venous thrombosis are the two most important manifestations of venous thromboembolism (VTE), which is the third most common life-threatening cardiovascular disease in the United States. Anticoagulation is the mainstay of VTE treatment. Most patients with deep...

American Family Physician : Article

https://www.aafp.org/afp/2017/0301/p295.html

Management of Binge-Eating Disorder in Adults - Implementing AHRQ Effective Health Care...

Mar 1, 2017 - What are the benefits and harms of treatments for adults with binge-eating disorder?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2017/0301/p324.html

Fainting: What You Should Know - American Family Physician

Mar 1, 2017 - ...National Institute of Neurological Disorders and Stroke http://www.ninds.nih.gov/disorders/syncope/syncope.htm National Library of Medicine https://www.nlm.nih.gov/medlineplus/fainting.html Read the full article. Get immediate access, anytime, anywhere. Choose a single...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2017/0301/p303-s1.html

Acute Coronary Syndrome: Current Treatment - American Family Physician

Feb 15, 2017 - Acute coronary syndrome continues to be a significant cause of morbidity and mortality in the United States. Family physicians need to identify and mitigate risk factors early, as well as recognize and respond to acute coronary syndrome events quickly in any clinical setting. Diagnosis ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0215/p232.html

Aspirin for the Prevention of Cardiovascular Disease and Colorectal Cancer: New ...

Feb 15, 2017 - In April 2016, the U.S. Preventive Services Task Force (USPSTF) updated its recommendation on the use of aspirin to prevent cardiovascular disease (CVD). Because emerging evidence suggested that aspirin may also be useful for the prevention of cancer, for the first time, the USPSTF ...

American Family Physician : Editorials

https://www.aafp.org/afp/2017/0215/p222.html

Dizziness: Approach to Evaluation and Management - American Family Physician

Feb 1, 2017 - Dizziness is a common yet imprecise symptom. It was traditionally divided into four categories based on the patient’s history: vertigo, presyncope, disequilibrium, and light-headedness. However, the distinction between these symptoms is of limited clinical usefulness. Patients have ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0201/p154.html

Acute Coronary Syndrome: Diagnostic Evaluation - American Family Physician

Feb 1, 2017 - Myocardial infarction (MI), a subset of acute coronary syndrome, is damage to the cardiac muscle as evidenced by elevated cardiac troponin levels in the setting of acute ischemia. Coronary artery disease is the leading cause of mortality in the United States. Chest pain is a common ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0201/p170.html

The Health Hazards of Air Pollution—Implications for Your Patients - Editorials - ...

Feb 1, 2017 - Air pollution has many deleterious health effects. Physicians can encourage their patients to recognize the health cobenefits of actions to support the environment.

American Family Physician : Editorials

https://www.aafp.org/afp/2017/0201/p146.html

What's Making Me Dizzy? - American Family Physician

Feb 1, 2017 - ...nervous system problems are possible, but these are rare. If your dizziness doesn't let up between spells, it may be due to a stroke, or might mean that a stroke is about to happen. This is quite rare. Some medicines can cause dizziness. Tell your doctor what medicines you are...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2017/0201/p154-s1.html

Keep Calm and Carry On … Being a Family Physician

Jan 30, 2017 - In this whale of a tale, John Cullen, M.D., writes that there is a moment of intense clarity during an emergency. That's vital for family physicians in remote locations.

AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/leadervoices/entry/keep_calm_and_carry_on.html

More Research Needed on Screening for Obstructive Sleep Apnea

Jan 25, 2017 - The U.S. Preventive Services Task Force and AAFP have finalized recommendations on screening asymptomatic adults for obstructive sleep apnea in primary care settings.

AAFP News : Health of the Public

https://www.aafp.org/news/health-of-the-public/20170125uspstfosarec0.html

AAFP, ACP: Lower Older Adultsand#8217; SBP to Below 150 mm Hg

Jan 18, 2017 - The AAFP and the American College of Physicians published a joint guideline on appropriate systolic blood pressure targets for patients 60 and older who have hypertension.

AAFP News : Health of the Public

https://www.aafp.org/news/health-of-the-public/20170118htnguideline.html

ACP and AAFP Release Guideline for Treatment of Hypertension in Adults 60 Years Old and...

Jan 17, 2017 - ACP and AAFP Release Guideline for Treatment of Hypertension in Adults 60 Years Old and Older

Press Center : News Releases and Statements

https://www.aafp.org/media-center/releases-statements/all/2017/ACP-AAFP-hypertension-guidelines.html

Statin Use for the Primary Prevention of Cardiovascular Disease in Adults: ...

Jan 15, 2017 - The USPSTF recommends that adults without a history of cardiovascular disease (CVD) (i.e., symptomatic coronary artery disease or ischemic stroke) use a low- to moderate-dose statin for the prevention of CVD events and mortality when all of the following criteria are met: (1) they are ...

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2017/0115/od1.html

Hyperlipidemia: Drugs for Cardiovascular Risk Reduction in Adults - American Family ...

Jan 15, 2017 - Guidelines from the American College of Cardiology/American Heart Association (ACC/AHA) and the U.K. National Institute for Health and Care Excellence (NICE) indicate that lipid-lowering drugs have benefit for primary and secondary prevention of atherosclerotic cardiovascular disease ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0115/p78.html

In Patients with Vascular Disease, Treating Sleep Apnea Does Not Reduce the Risk of ...

Jan 15, 2017 - Compared with usual care, the use of CPAP provides a modest improvement in daytime sleepiness, but does not reduce the likelihood of cardiovascular events, even in a high-risk population.

American Family Physician : POEMs

https://www.aafp.org/afp/2017/0115/p123.html

Hypertension in Adults Over 60 -- Clinical Recommendation

Jan 9, 2017 - Access the AAFP clinical practice guideline on treatment of hypertension in adults over age 60.

Patient Care |AAFP Policies and Recommendations : Clinical Recommendations

https://www.aafp.org/patient-care/clinical-recommendations/all/hypertension-over-60.html

No, I'm Not 'Settling' for Family Medicine

Jan 9, 2017 - Lauren Abdul-Majeed writes that misconceptions about family medicine are toxic for medical students and negatively affect an already inadequate primary care workforce.

AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/leadervoices/entry/no_i_m_not_settling.html

2017 American Family Physician -- American Family Physician

Jan 4, 2017 - Search 2017 issues of American Family Physician, a publication of the American Academy of Family Physicians.

American Family Physician : AFP Home

https://www.aafp.org/journals/afp/explore/past/2017.html

ADA Updates Standards of Medical Care for Patients with Diabetes Mellitus - Practice ...

Jan 1, 2017 - The American Diabetes Association (ADA) recently updated its standards of care to provide the components of diabetes care, general treatment goals, and tools to evaluate the quality of care. Key changes in the 2016 update include new screening recommendations, clarification of ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2017/0101/p40.html

Screening for Lipid Disorders in Children and Adolescents: Recommendation Statement - ...

Dec 15, 2016 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for lipid disorders in children and adolescents 20 years or younger.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2016/1215/od1.html

Autism Spectrum Disorder - American Family Physician

Dec 15, 2016 - ...National Institute of Neurological Disorders and Stroke http://www.ninds.nih.gov/disorders/autism/detail_autism.htm National Library of Medicine https://medlineplus.gov/autismspectrumdisorder.html Read the full article. Get immediate access, anytime, anywhere. Choose a single...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2016/1215/p972-s1.html

Hormone Therapy and Other Treatments for Symptoms of Menopause - American Family Physician

Dec 1, 2016 - The results of large clinical trials have led physicians and patients to question the safety of hormone therapy for menopause. In the past, physicians prescribed hormone therapy to improve overall health and prevent cardiac disease, as well as for symptoms of menopause. Combined ...

American Family Physician : Article

https://www.aafp.org/afp/2016/1201/p884.html

Patient Attribution: Why It Matters More Than Ever -- FPM

Dec 1, 2016 - How payers assign patients to you will affect how your practice is evaluated and paid for value in the future.

Family Practice Management : Articles

https://www.aafp.org/fpm/2016/1100/p25.html

It’s Time for ICD-10 Changes -- FPM

Dec 1, 2016 - The ICD-10 grace period has ended, so avoid using out-of-date and unspecified codes.

Family Practice Management : Articles

https://www.aafp.org/fpm/2016/1100/p17.html

Prescribe Statins for Adults With CVD Risk Factor, Heightened 10-year Risk

Nov 16, 2016 - On Nov. 13, the U.S. Preventive Services Task Force published a final recommendation statement and evidence summary on statin use for the primary prevention of cardiovascular disease in adults.

AAFP News : Health of the Public

https://www.aafp.org/news/health-of-the-public/20161116uspstfstatinuse.html

Erectile Dysfunction - American Family Physician

Nov 15, 2016 - Erectile dysfunction (ED) is the inability to achieve or maintain an erection sufficient for satisfactory sexual performance. It is common, affecting at least 12 million U.S. men. The five-question International Index of Erectile Function allows rapid clinical assessment of ED. The ...

American Family Physician : Article

https://www.aafp.org/afp/2016/1115/p820.html

Acute Monoarthritis: Diagnosis in Adults - American Family Physician

Nov 15, 2016 - Acute monoarthritis can be the initial manifestation of many joint disorders. The most common diagnoses in the primary care setting are osteoarthritis, gout, and trauma. It is important to understand the prevalence of specific etiologies and to use the appropriate diagnostic modalities....

American Family Physician : Article

https://www.aafp.org/afp/2016/1115/p810.html

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